Translation, Cross-Cultural Adaptation, and Psychometric Properties of the Arabic Consumer Assessment of Healthcare Providers and Systems-Clinician and Group Survey (CG-CAHPS): A Cross-Sectional Study.

PURPOSE

Patient experience is a vital component of healthcare quality, playing a significant role in patient-centered care. Despite the global applicability of the Consumer Assessment of Healthcare Providers and Systems-Clinician and Group Survey (CG-CAHPS), there is a lack of reliable, culturally adapted instruments for assessing patient experience in Arabic-speaking populations. Therefore, we translated, adapted, and validated an Arabic version of the CG-CAHPS to assess patient experiences in Saudi Arabia.

PATIENTS AND METHODS

This cross-sectional study surveyed a convenience sample of 281 outpatients at two heart failure clinics to evaluate the psychometric properties of the Arabic CG-CAHPS-including structural validity, criterion validity, and reliability. The survey consisted of four domains-Access to Care; Communication with Healthcare Professionals; Care Coordination; and Helpful, Courteous, and Respectful Staff. Structural validity was assessed using Confirmatory Factor Analysis (CFA) Comparative Fit Index (CFI) and Tucker-Lewis Index (TLI), both with values greater than 0.90, as well as the Root Mean Square Error of Approximation (RMSEA) and Standardized Root Mean Square Residual (SRMR). Reliability was evaluated via Cronbach's alpha (α) for internal consistency, while criterion validity was tested through inter-item correlations with the overall ratings for the recent visit and healthcare provider.

RESULTS

The confirmatory factor analysis supported the hypothesized four-factor model, demonstrating adequate structural validity and a good fit (CFI =0.927, TLI =0.906, RMSEA =0.097, and SRMR =0.083). All factor loadings were significant (p < 0.001), ranging from 0.57 to 0.93. Criterion validity was supported by strong correlations between the survey domains and the patient ratings regarding visits and providers-of which the Helpful, Courteous, and Respectful Staff domains showed the highest correlation (r=0.561). Cronbach's alpha demonstrated high internal consistency (α=0.909)-with each domain exceeding the 0.70 threshold.

CONCLUSION

The Arabic CG-CAHPS is a reliable and valid tool for assessing patient experiences in Saudi healthcare settings. Its application can facilitate the enhancement of patient-centered care and contribute to ongoing efforts to improve healthcare quality in Saudi Arabia. Future research should assess the tool's applicability in other healthcare contexts and regional populations.